| Entity Name: | ANTI-AGING MEDICAL CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Feb 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L12000017658 |
| Address: | 430 BORDER ST., PORT CHARLOTTE, FL, 33953, US |
| Mail Address: | 430 BORDER ST., PORT CHARLOTTE, FL, 33953, US |
| ZIP code: | 33953 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265795207 | 2012-06-22 | 2012-06-22 | 3545 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL, 342888977, US | 3545 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL, 342888977, US | |||||||||||||||||
|
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| Phone | +1 941-625-0304 |
Authorized person
| Name | CHRISTINA M PARKER |
| Role | OWNER/ARNP |
| Phone | 3162073406 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 9267806 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PARKER CHRISTINA ARNP | Agent | 430 BORDER STREET, PORT CHAR, FL, 33612 |
| Name | Role | Address |
|---|---|---|
| PARKER CHRISTINA | Managing Member | 430 BORDER ST., PORT CHARLOTTE, FL, 33953 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000073837 | RESTORATIVE MEDICAL CENTER | EXPIRED | 2012-07-24 | 2017-12-31 | No data | 430 BORDER ST, PORT CHARLOTTE, FL, 33953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-22 | PARKER, CHRISTINA, ARNP | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-22 | 430 BORDER STREET, PORT CHAR, FL 33612 | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2013-02-22 |
| Florida Limited Liability | 2012-02-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
